Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1091-1093
AN Lan-fen, JIN Zhi-shan, HUA Teng, ZHANG Jun, SHI Rui, YU Zhi-cheng, WEI Si-tian, WANG Hong-bo. Value of transvaginal ultrasound and magnetic resonance in the diagnosis of endometrial cancer[J]. Chinese Journal of General Practice, 2022, 20(7): 1091-1093. doi: 10.16766/j.cnki.issn.1674-4152.002530
Citation: AN Lan-fen, JIN Zhi-shan, HUA Teng, ZHANG Jun, SHI Rui, YU Zhi-cheng, WEI Si-tian, WANG Hong-bo. Value of transvaginal ultrasound and magnetic resonance in the diagnosis of endometrial cancer[J]. Chinese Journal of General Practice, 2022, 20(7): 1091-1093. doi: 10.16766/j.cnki.issn.1674-4152.002530
shu

Value of transvaginal ultrasound and magnetic resonance in the diagnosis of endometrial cancer

doi: 10.16766/j.cnki.issn.1674-4152.002530

  • Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China

Funds:

 81974409

 82002765

  • Received Date: 2021-09-29
    Available Online: 2022-09-23
    Abstract
  •   Objective  To analyse the value of transvaginal ultrasound (TVS) and magnetic resonance imaging (MRI) in the preoperative diagnosis of endometrial cancer.  Methods  We retrospectively collected and analysed a total of 257 patients with endometrial cancer who had undergone TVS and MRI examinations and were pathologically diagnosed after surgery in the Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology from October 2008 to June 2021. Graphpad Prism 8.3.0 statistical software was used to analyse the preoperative TVS and MRI detection rate and consistency of endometrial cancer. P < 0.05 was considered statistically significant.  Results  The pathological diagnosis results showed 161 cases of endometrial cancer in stage ⅠA, 37 cases in stage ⅠB and 59 cases in stages Ⅱ-Ⅲ. The difference in the total detection rate of endometrial cancer between TVS and MRI before surgery was statistically significant (85.99% and 94.16%, χ2=9.818, P=0.002). The results of consistency analysis showed that the Kappa value of TVS and MRI in the diagnosis of endometrial cancer was 0.293, indicating that the consistency of TVS and MRI in the diagnosis of endometrial cancer was poor. The consistency analysis between TVS and MRI and the pathological diagnosis results of tumour staging showed that the Kappa value of TVS and pathological diagnosis results was 0.498, and the Kappa value of MRI and pathological diagnosis results was 0.867. Thus, TVS and pathological diagnosis results have moderate consistency, and MRI and pathological diagnosis results have excellent consistency, indicating that the consistency of MRI and pathological diagnosis results is better than that of TVS.  Conclusion  For the evaluation of preoperative endometrial cancer, TVS examination is limited, whereas MRI examination is more accurate.

     

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